CLEANER SMARTER MEDICAL CARE

Transcription

1 CLEANER SMARTER MEDICAL CARE

2 SHUBHRAM provides holistic, high-quality linen management & laundering services: guaranteeing infection-free linen that complies with international standards, and a sophisticated system for tracking AND inventory management. Healthcare: The big picture Cleanliness is key to holistic healthcare experiences Laundry: An essential but under served component in healthcare Shubhram: Partnership for holistic healthcare Founded by healthcare professionals Partnership with industry leader Servizi Italia The Shubhram clean chain The Shubhram advantage A new benchmark for clean Improved administration and flexibility Financial and operation efficiency Cleaner and smarter through technology Investing in the environment

3 1 + 2 Healthcare: The Big Picture Hospital acquired infections are a major source of morbidity and mortality in hospitals. Infection can be transferred from used items of clothing, linen and the environments in which they are laundered or stored. Therefore effective laundry management is vital to prevent crossinfection between patients and to protect staff that transport and handle used linen. International guidelines recommend that linen and patient clothing should be sent off site to be laundered.

4 3 + 4 For Shubhram, Cleanliness is more than what meets the eye. Good hygiene and cleanliness is a basic requirement for good health. This is even more important in a hospital setting. Patients expect a clean and hygienic experience in a safe environment of care when they visit a hospital, for which a high level of compliance with policies of cleaning, disinfection, and sterilization is needed. Our experience and audits have shown that though in general these policies are rigorously followed for medical equipment and environmental surfaces, the same standards are either overlooked, or are inconsistently followed for laundry and linen services due to a variety of reasons. For Shubhram, cleanliness is more than what meets the eye. Our expertise and unique processes ensure that linen not only appears clean and smells hygienic, but is also disinfected. Shubhram maintains a clean, infection free cycle from the time the dirty linen is taken off the beds till it comes back as disinfected linen. Cleanliness is key to holistic MEDICAL care Bed Linen and garments are a critical touch point between a hospital and its patients.

5 5 + 6 Laundry: An essential but under-served component in Healthcare Effective laundry disinfection requires a thorough understanding of the various factors Linen plays an extremely significant role in the day-to-day activities of a hospital, from providing effective and hygienic healthcare to its patients to the hospital s own administration and financial planning. A holistic 1. The key elements of an effective laundry process include water temperature, types of detergents, chemicals used, rinsing, drying and ironing for the right duration at the appropriate temperatures. involved. understanding of these factors is a crucial step to evaluate any laundry Shubhram has conducted audits of multiple hospital services (both and linen management services. public and private) across India and found the processes being used lacking in these key elements. Laundry processing 2. An in-house laundry that aims to achieve the previously stated 4. The cost of setting-up, running and maintaining the boilers needed A lack of understanding or mismanagement of even any one of the above can lead to linen that may appear clean but is not sufficiently disinfected for the hospital s standards. area at a leading hospital in New Delhi. procedures is not only highly capitalintensive to set up, but is also an expensive operation to maintain. Our audits suggest that most hospitals fail to treat their in-house laundry as a cost centre and thus underestimate the costs that the for generating sufficient steam for the laundry is significant, but is seldom factored into laundry costs. 5. Laundry water carries with it hazardous chemicals, infectious micro-organisms and environmental laundry actually incurs. contaminants. Untreated discharge of this water poses an extreme 3. Hospitals also rarely account for threat to local ground water. The the opportunity cost of the space the resultant water pollution is a laundry consumes, which can be used significant public health risk. for other services.

6 7 + 8 SHUBHRAM: PARTNERSHIP FOR HOLISTIC MEDICAL CARE A Clean Chain is ingrained in the DNA of Shubhram. We have mastered a process driven clean hospital linen management system whereby we provide the required linen and also launder it, as a complete package. We have a documented biohazard communication system that uses UHFID tags in every piece of linen we wash enabling efficient batch-wise tracking and inventory management.

7 Shubhram is designed for Hospitals Founded by healthcare professionals Shubhram is a service-oriented company, providing world-class linen management service exclusively to hospitals. We are a dynamic, market As a team of healthcare professionals, we bring together the experience of many decades of working in the healthcare industry in Europe. We bring driven company able to respond to the to India the latest technology, along changing requirements of hospitals with the ethos of professionalism and with innovative quality products and service orientation. Our investment in services. We take pride in serving our customers, keeping their operations systems and technology means that we have a fully automated process DR. SHASHI BALAIN DR. MUNISHA BALAIN DR. SEEMA BALIYAN DR. SHASHI BALIYAN running smoothly and successfully, both during routine hospital work as well as during emergencies. Shubhram is more than just a supplier or launderer of linen. We work with our customers as a team, building on mutual strengths and making the right connections using our collective expertise to deliver the best possible linen service. We invest in the future for the control of hospital linen, which produces significant time and budget savings for hospitals. By leveraging our buying power, our logistics system and a vast experience in the industry, we are able to provide dynamic, cost effective services. PhD (Psychology), MBA (Lancaster University, UK) Shashi has extensive experience as a strategic management consultant and is actively engaged in management research and education for over 20 years. MBBS, MSc (Child Health), Member of the Royal College of Paediatrics and Child Health (MRCPCH) Munisha has over 13 years of experience in paediatric and neonatal medicine. MBBS, MRCGP (UK), DRCOG (UK), DFFP (UK) Seema brings more than 15yrs of clinical experience of working in various NHS hospitals across UK. MBBS, MHA (Nuffield Institute of Health, UK), PRINCE 2 Practitioner Shashi is a serial entrepreneur who brings more than 15yrs of clinical, management and consulting experience acquired across the globe especially in UK. to build lasting partnerships with all our clients.

8 5% Partnership with industry leader Servizi Italia The Servizi Italia group is Europe s leading integrated Services provider for public and private hospital facilities. Servizi Italia S.p.A., listed in the STAR platform featuring industrial laundries and sterilization centers for both textile and surgical instruments. The company was founded in 1986 and is segment of Borsa Italiana S.p.A., is headquartered in Castellina di the head of companies pertaining to Soragna, Italy. Servizi Italia Group and it represents the main Italian operator in healthcare Servizi Italia is renowned worldwide for outsourcing of non-core hospital its technologically advanced production services. The company is dedicated to platform, featuring: three main business sectors:» 16 plants for industrial laundry Wash-hire, textile sterilization and in Italy and other 3 in Brazil surgical instruments sterilization.» 6 linen sterilization centers» 16 surgical instruments sterilization Servizi Italia is certified ISO 9001:2008 centers and many wardrobes all and UNI EN ISO 13485:2004 in order over Italy. to ensure the delivery of services in accordance to customers requirements, MARKET POSITIONING AND COMMERCIAL PRESENCE IN ITALY operating through a production Source: Smart Lavenderie Industriali April 2013 Databank Cerved Group 42% Servizi Italia & Group companies. 42% 44% 5% SO.GE.SI 5% Adapta Gruppo Innova Top Right: Freshly washed garments being processed for 4% American Laundry 4% 5% delivery at Servizi Italia s fully automated industrial laundry 44% Others facility in Italy.

9 UHF-RFID ENABLED TRACKING AND INVENTORY MANAGEMENT Every single piece of flat linen or garment from Shubhram is embedded with a UHF-RFID (ultra high frequency - radio frequency identification) tag. These tags enable tracking of individual items at every stage of the process, from collection to delivery. This data is automatically harvested by Shubhram s inventory management system, which can then provide reports, inventory information, & more. 6X INVENTORY THE SHUBHRAM CLEAN CHAIN 6x Shubhram operates on a wash-hire model, providing both flat-linen and garments, and guarantees a 6x backup of a client hospital s linen requirement. This model not only guarantees the availability of freshly washed linen, but also enables rapid scaling up of operations if required. SAP ENABLED Shubhram maintains a Clean Chain : Robust systems and processes that ensure a functional and physical A sophisticated SAP resource and inventory management system is integrated into every stage of tracking reports which reduce administrative and human resource overheads, & enable separation of clean and dirty areas throughout the process of collection, Shubhram s operations. The system ensures transparent billing and better resource planning & allocation, both daily & yearly. washing, and delivery. 24-HOUR TURNAROUND 24 Robust automation systems and the best available equipment and software ensure that every batch of laundry is collected, processed, and dispatched within 24 hours.

10 DIRTY LINEN: CLEAN LINEN: COLLECTION & SORTING WASHING DRYING AND IRONING DISPATCH & DELIVERY Soiled linen is collected from the Linen is washed in Tunnel Washer & Barrier After washing, each batch of laundry is The processed linen is ready for hospital and transported to the Washer-extractors in various stages. dried at high temperatures over 85ºC loading within three hours and is industrial laundry facility. for up to 45 minutes which constitutes dispatched to the hospital in a Customised chemicals and detergents are an integral part of disinfection. breathable hospital grade packaging Soiled linen is sorted hospital wise in used at appropriate temperature for material which prevents moisture various categories such as flat work appropriate duration to achieve high quality Dedicated machines for flat linen and accumulation and maintains (bed-linen, pillow covers, blankets, etc), disinfection and maintain the colour and garments provide a further level of disinfection to international standards. garments (gowns, scrubs, aprons), quality of the fabric. automation, ensuring uniformly ironed Operating theatre linen, etc. Special and folded clothes in every batch. care is taken to collect the infected linen Further rinsing-cycles ensure that all directly in water soluble bags with no chemicals used in the washing process are Regular thermo-chemical and human contact till it is washed. completely removed. microbial analysis is done for quality assurance. All water used by the machines is sent to the effluent-treatment plant, where up to 50% of it is reclaimed for re-use, and the rest is treated to ensure safe disposal. After off-loading dirty linen, the truck is completely disinfected before clean linen is loaded.

11 A NEW BENCHMARK FOR CLEAN Shubhram s processes have earned renowned international certifications:» UNI EN ISO 9001:2008 for the implementation of the Quality Management System» UNI EN ISO 13485:2012 for the implementation of a Quality Management System, supporting» BS OHSAS 18001:2007 Management System for the protection of Workers Health and Safety» EC-certification in compliance with Annex V of the European Globally recognised standards of cleanliness. Shubhram operates India s first of its kind, state of the art laundry facility catering exclusively to hospital linen. We bring the latest technological advancement in the field to India through our international collaboration with Servizi Italia. Shubhram adheres to the universal precautions of infectious linen management, supported by international scientific expertise and corroborated by multiple international certifications. Based on the workflow pattern principle where processing of soiled textiles flows to clean textiles, the laundry facility s physical layout and maintenance procedures ensure efficiency, minimize environmental contamination, and protect the material and hygienic integrity of the processed textiles. Our personnel are trained to handle contaminated and soiled textiles, are adequately vaccinated, and adhere to good work practices to minimize transmission of infections. the organisation in planning and development, production, installation of and assistance for medical devices, as well as the planning, development and supply of related services» UNI EN ISO 14001:2004 for the implementation of an Environmental Management System supporting the organisation» UNI EN 471:2008 High visibility clothing for professional use, assessment and control systems for high visibility clothing subject to washing and maintenance processes» UNI EN 14065:2004 Biocontamination control system for Textiles treated Directive 93/42/EEC as amended (implemented in Italy with Legislative Decree No. 46 of 24th February 1997 as amended), concerning medical devices and certifying the approval of the quality assurance system for production and/or sterilization of Medical Devices in sterile kits to be used in hospital surgical units. in laundries. Biocontamination control system assessed according to the RABC guidelines issued by ASSOSISTEMA

12 Efficient systems and smart technology enable Improvements across every aspect of hospital operations. Shubhram s complete linen management services and off-site processing of laundry provides a host of benefits for our partner hospitals. These range from better planning of yearly budgets through a reduced dependency on fluctuating fuel and associated costs, to efficient and simple scaling of operations. Shubhram and the partner hospital jointly determine the par-level for the facility, after which our inventory management and tracking system ensures a continuous and seamless supply of clean linen to meet the hospital s needs. IMPROVED ADMINISTRATIon AND flexibility Detailed reports are generated for every batch of laundry, ensuring consistent quality and measuring.

13 FINANCIAL AND OPERATION EFFICIENCY Shubhram market research provides a unique insight into the real cost of washing linen in-house as per the desired hospital standards. We understand the many hidden costs that most organisations do not correctly allocate to the Laundry. If these costs are considered, it becomes apparent that most hospitals are washing their own linen at a substantial cost, and we are happy to present a business case to the hospital leadership to present a proposal of washing the hospital s laundry at a lower cost than they are able to do so in-house. Some key considerations and hidden costs that hospitals often overlook are:» Cost of energy (Diesel and Electricity) used for steam generation are often not appropriately apportioned to the laundry, effectively cross-subsidizing these costs» Cost of buying and replacing the lost, damaged, and condemned linen» Cost of water and Effluent Treatment Plant (ETP) attributable to laundry (sewage charges)» Capital expenditure on boilers, washing machines, dryers and spare parts» Maintenance and replacement costs of equipment» High value time of the hospital staff that could be better spent in patient care» Opportunity cost of the space used for in-house laundry» Depreciation of equipment and machinery» Costs of upgrading the machines when capacity increases

14 CLEANER AND SMARTER THROUGH TECHNOLOGY Shubhram uses Continuous Barrier Washer technology imported from Europe. Shubhram has India s first of its kind, chemicals used are appropriate for state of the art laundry facility catering the equipment, textile classifications, exclusively to hospital linen. The and water temperatures being used. laundry facility is designed to deliver The incoming water is tested for a clean linen solution. This facility has hardness, alkalinity (active and total), an installed capacity of more than 60 iron content, and ph, and the wash tons of linen per day. It uses Continous formula is adjustment based on these Barrier Washer (CBW) technique for factors. Each linen load is weighed, linen laundry, the equipment for which using a calibrated scale. The scale is has been imported from Europe. inspected and calibrated by an external auditor on a regular basis, but at a At the facility, there is a physical and minimum annually; and the results functional separation between the can be made available to the customer areas that receive, store or process upon request. soiled textiles and the areas that process, handle, or store clean textiles Ironer temperatures are based on the using walls leading to structural equipment manufacturer s manual Improved All soiled healthcare A functional separation The textiles are partitioning and negative air pressure and recommendations appropriate standards of textiles are assumed to of carts, containers, delivered wrapped in the soiled textiles area and positive for the type of fabric being processed. cleanliness through be contaminated, and covers, and liners used in fluid-resistant air flow from the clean textiles area UHFID tags provide a variety of technological universal precautions to collect or transport packaging. through the soiled textiles area with process monitors including rewash innovation are used by all personnel soiled textiles is venting directly to the outside. The rates, colour transfers, ph spot tests; who handle soiled textiles maintained. ventilation of the storage areas for and residual chlorine spot tests. during moving, containing, cleaned, processed linen is designed to loading, unloading, and prevent accumulation of dust, lint and sorting said textiles. moisture contamination. The laundry

15 An investment in sustainable technology and processes» Shubhram s equipment and processes for both washing and drying use 35% less water than traditional washer extractors and dryers.» In particular, we have set-up a completely biological Effluent Treatment Plant (ETP) and water recycling plant to reclaim a minimum of 50% process water. Our ETP is completely chemical free.» We have also invested in a best-of-class rainwater harvesting system.» Shubhram s solar power plant is completely integrated with the grid, enabling a substantial reduction in power consumption. INVESTING IN THE ENVIRONMENT Shubhram s investments in sustainability include a solar power plant, integrated with the grid.

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17 Industrial Laundry Plant Address Contact Website: Contact us to arrange a guided tour of our plant. Address: , Phase II, Barhi Textile Park, HSIIDC Industrial Area Barhi, National Highway 1, Sonipat, Haryana, India